Individual
GRACE LUTTRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, BC-DMT
Contact information
Practice address
301 E MAIN ST FL 2, MOUNT KISCO, NY 10549-3003
(917) 736-6391
Mailing address
301 E MAIN ST FL 2, MOUNT KISCO, NY 10549-3003
(917) 736-6391
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
003106
NY
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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